自发性肾十二指肠瘘

Spontaneous nephro-duodenal fistula.

作者信息

Geisse G, Blath R A

出版信息

J Can Assoc Radiol. 1976 Jun;27(2):118-21.

Abstract

Nephroduodenal fistulas are an uncommon clinical entity characterized by upper abdominal pain and associated with pyelonephritis and renal calculus formation. Most of the recent cases reported are secondary to inflammatory changes in the kidney. Two cases are reported here, one of a nephroduodenal fistula and another of a combined nephroduodenal and nephrocolic fistulae. Carefully monitored X-ray studies determined in both cases the exact site and extent of the fistulae. The optimal treatment is nephrectomy.

摘要

肾十二指肠瘘是一种罕见的临床病症，其特征为上腹部疼痛，并伴有肾盂肾炎和肾结石形成。近期报道的大多数病例继发于肾脏的炎症变化。本文报告两例，一例为肾十二指肠瘘，另一例为肾十二指肠和肾结肠联合瘘。通过仔细监测的X线检查确定了两例病例中瘘管的确切位置和范围。最佳治疗方法是肾切除术。